J Dent Rehabil Appl Sci.  2021 Mar;37(1):1-15. 10.14368/jdras.2021.37.1.1.

Review on additive manufacturing of dental materials

Affiliations
  • 1Department of Prosthodontics and Research Institute of Oral Science, College of Dentistry, Gangneung-Wonju National University, Gangneung, Republic of Korea

Abstract

Additive manufacturing (AM) for dental materials can produce more complex forms than conventional manufacturing methods. Compared to milling processing, AM consumes less equipment and materials, making sustainability an advantage. AM can be categorized into 7 types. Polymers made by vat polymerization are the most suitable material for AM due to superior mechanical properties and internal fit compared to conventional self-polymerizing methods. However, polymers are mainly used as provisional restoration due to their relatively low mechanical strength. Metal AM uses powder bed fusion methods and has higher fracture toughness and density than castings, but has higher residual stress, which requires research on post-processing methods to remove them. AM for ceramic use vat polymerization of materials mixed with ceramic powder and resin polymer. The ceramic materials for AM needs complex post-processing such as debinding of polymer and sintering. The low mechanical strength and volumetric accuracy of the products made by AM must be improved to be commercialized. AM requires more research to find the most suitable fabrication process conditions, as the mechanical properties and surface of any material will vary depending on the processing condition.

Keyword

additive manufacturing; polymer; metal; ceramic; mechanical properties

Figure

  • Fig. 1 Backscattered electron (BSE) images of the Co-Cr alloys tested (original magnification × 200). (A) Polished surface of Co-Cr alloy fabricated with casting, (B) Polished surface of Co-Cr alloy fabricated with SLM. Arrow heads indicate micro-porosities. Porosity (black area) appeared more in the casting method.

  • Fig. 2 As-built Co-Cr crown by SLM. (A) Rough surface by un-melted powders and remnants of support structure, (B) Different result of the printed wall thickness in crown specimen sectioned bucco-lingually. It was set to a constant thickness of 500 μm, however the thickness was small at the axial wall and large at the occlusal wall. Additionally, the occlusal surface was found to be coarser than the inner surface.

  • Fig. 3 Diagram for comparing surface quality with different condition of layer thickness (Left: 2a layer thickness, Right: a layer thickness), showing ‘Surface deterioration’ and ‘Ladder effect’.

  • Fig. 4 Types of fracture inducing factors in additive manufacturing. 1) Pore; 2) Agglomerates of powder; 3) Cleansing defects; 4) Edge damage; 5) Machining damage.

  • Fig. 5 Three different types of fabrication showing the different layer architecture. (A) Printed specimen with a long x-axis and parallel to the surface of the fracture test. (B) Printed specimen with a long y-axis and parallel to the surface of the fracture test. (C) Printed specimen perpendicular to the surface of the fracture test (h: height, w: width, l: length).


Reference

References

1. Huang SH, Liu P, Mokasdar A, Hou L. 2013; Additive manufacturing and its societal impact: a literature review. Int J Adv Manuf Technol. 67:1191–203. DOI: 10.1007/s00170-012-4558-5.
2. Guo N, Leu MC. 2013; Additive manufacturing: technology, applications and research needs. Front Mech Eng. 8:215–43. DOI: 10.1007/s11465-013-0248-8.
3. Jockusch J, Özcan M. 2020; Additive manufacturing of dental polymers: An overview on processes, materials and applications. Dent Mater J. 39:345–54. DOI: 10.4012/dmj.2019-123. PMID: 32037387.
4. Galante R, Figueiredo-Pina CG, Serro AP. 2019; Additive manufacturing of ceramics for dental applications: A review. Dent Mater. 35:825–46. DOI: 10.1016/j.dental.2019.02.026. PMID: 30948230.
5. ASTM International. 2012. Standard terminology for additive manufacturing technologies.
6. Hull C. Apparatus for production of three-dimensional objects by stereolithography. US Patent 1986;638905.
7. Chen Z, Li Z, Li J, Liu C, Lao C, Fu Y, Liu C, Li Y, Wang P. 2019; He Y. 3D printing of ceramics: A review. J Eur Ceram Soc. 39:661–87. DOI: 10.1016/j.jeurceramsoc.2018.11.013.
8. Stansbury JW, Idacavage MJ. 2016; 3D printing with polymers: Challenges among expanding options and opportunities. Dent Mater. 32:54–64. DOI: 10.1016/j.dental.2015.09.018. PMID: 26494268.
9. Infuehr R, Pucher N, Heller C, Lichtenegger H, Liska R, Schmidt V, Kuna L, Haase A, Stampfl J. 2007; Functional polymers by two-photon 3D lithography. Appl Surf Sci. 254:836–40. DOI: 10.1016/j.apsusc.2007.08.011.
10. Liska R, Cziferszky M, Inführ R, Turecek C, Fritscher C, Seidl B, Schmidt V, Kuna L, Haase A, Varga F, Lichtenegger HC, Stampfl J. 2007; Photopolymers for rapid prototyping. J Coat Technol Res. 4:505–10. DOI: 10.1007/s11998-007-9059-3.
11. Griffith ML, Halloran JW. 1996; Freeform fabrication of ceramics via stereolithography. J Am Ceram Soc. 79:2601–8. DOI: 10.1111/j.1151-2916.1996.tb09022.x.
12. Revilla-León M, Meyer MJ, Zandinejad A, Özcan M. 2020; Additive manufacturing technologies for processing zirconia in dental applications. Int J Comput Dent. 23:27–37. PMID: 32207459.
13. Revilla-León M, Meyers MJ, Zandinejad A, Özcan M. 2019; A review on chemical composition, mechanical properties, and manufacturing work flow of additively manufactured current polymers for interim dental restorations. J Esthet Restor Dent. 31:51–7. DOI: 10.1111/jerd.12438. PMID: 30367716.
14. Ngo TD, Kashani A, Imbalzano G, Nguyen KT, Hui D. 2018; Additive manufacturing (3D printing): A review of materials, methods, applications and challenges. Compos B Eng. 143:172–96. DOI: 10.1016/j.compositesb.2018.02.012.
15. Strub JR, Rekow ED, Witkowski S. 2006; Computeraided design and fabrication of dental restorations: current systems and future possibilities. J Am Dent Assoc. 137:1289–96. DOI: 10.14219/jada.archive.2006.0389. PMID: 16946436.
16. Beuer F, Schweiger J, Edelhoff D. 2008; Digital dentistry: an overview of recent developments for CAD-CAM generated restorations. Br Dent J. 204:505–11. DOI: 10.1038/sj.bdj.2008.350. PMID: 18469768.
17. Lebon N, Tapie L, Duret F, Attal JP. 2016; Understanding dental CAD-CAM for restorations-dental milling machines from a mechanical engineering viewpoint. Part A: chairside milling machines. Int J Comput Dent. 19:45–62.
18. Digholkar S, Madhav VNV, Palaskar J. 2016; Evaluation of the flexural strength and microhardness of provisional crown and bridge materials fabricated by different methods. J Indian Prosthodont Soc. 16:328–34. DOI: 10.4103/0972-4052.191288. PMID: 27746595. PMCID: PMC5062140.
19. Peng CC, Chung KH, Yau HT, Ramos V Jr. 2020; Assessment of the internal fit and marginal integrity of interim crowns made by different manufacturing methods. J Prosthet Dent. 123:514–22. DOI: 10.1016/j.prosdent.2019.02.024. PMID: 31353116.
20. Burns DR, Beck DA, Nelson SK. Committee on Research in Fixed Prosthodontics of the Academy of Fixed Prosthodontics. 2003; A review of selected dental literature on contemporary provisional fixed prosthodontic treatment: report of the Committee on Research in Fixed Prosthodontics of the Academy of Fixed Prosthodontics. J Prosthet Dent. 90:474–97. DOI: 10.1016/S0022-3913(03)00259-2. PMID: 14586312.
21. Park JY, Jeong ID, Lee JJ, Bae SY, Kim JH, Kim WC. 2016; In vitro assessment of the marginal and internal fits of interim implant restorations fabricated with different methods. J Prosthet Dent. 116:536–42. DOI: 10.1016/j.prosdent.2016.03.012. PMID: 27174406.
22. Reeponmaha T, Angwaravong O, Angwarawong T. 2020; Comparison of fracture strength after thermomechanical aging between provisional crowns made with CAD-CAM and conventional method. J Adv Prosthodont. 12:218–24. DOI: 10.4047/jap.2020.12.4.218. PMID: 32879712. PMCID: PMC7449821.
23. Tahayeri A, Morgan M, Fugolin AP, Bompolaki D, Athirasala A, Pfeifer CS, Ferracane JL, Bertassoni LE. 2018; 3D printed versus conventionally cured provisional crown and bridge dental materials. Dent Mater. 34:192–200. DOI: 10.1016/j.dental.2017.10.003. PMID: 29110921. PMCID: PMC5801146.
24. Scotti CK, de Amoêdo Campos Velo MM, Rizzante FAP, de Lima Nascimento TR, Mondelli RFL, Bombonatti JFS. 2020; Physical and surface properties of a 3D-printed composite resin for a digital workflow. J Prosthet Dent. 124:614.e1–e5. DOI: 10.1016/j.prosdent.2020.03.029. PMID: 32636072.
25. Jeong KW, Kim SH. 2019; Influence of surface treatments and repair materials on the shear bond strength of CAD/CAM provisional restorations. J Adv Prosthodont. 11:95–104. DOI: 10.4047/jap.2019.11.2.95. PMID: 31080570. PMCID: PMC6491361.
26. Alharbi N, Alharbi S, Cuijpers VM, Osman RB, Wismeijer D. 2018; Three-dimensional evaluation of marginal and internal fit of 3D-printed interim restorations fabricated on different finish line designs. J Prosthodont Res. 62:218–26. DOI: 10.1016/j.jpor.2017.09.002. PMID: 29032176.
27. Shim JS, Kim JE, Jeong SH, Choi YJ, Ryu JJ. 2020; Printing accuracy, mechanical properties, surface characteristics, and microbial adhesion of 3D-printed resins with various printing orientations. J Prosthet Dent. 124:468–75. DOI: 10.1016/j.prosdent.2019.05.034. PMID: 31810611.
28. Bae EJ, Kim JH, Kim WC, Kim HY. 2014; Bond and fracture strength of metal-ceramic restorations formed by selective laser sintering. J Adv Prosthodont. 6:266–71. DOI: 10.4047/jap.2014.6.4.266. PMID: 25177469. PMCID: PMC4146726.
29. Kruth JP, Levy G, Klocke F, Childs THC. 2007; Consolidation phenomena in laser and powder-bed based layered manufacturing. CIRP Annals. 56:730–59. DOI: 10.1016/j.cirp.2007.10.004.
30. Zhou Y, Li N, Yan J, Zeng Q. 2018; Comparative analysis of the microstructures and mechanical properties of Co-Cr dental alloys fabricated by different methods. J Prosthet Dent. 120:617–23. DOI: 10.1016/j.prosdent.2017.11.015. PMID: 29627206.
31. Kajima Y, Takaichi A, Kittikundecha N, Nakamoto T, Kimura T, Nomura N, Kawasaki A, Hanawa T, Takahashi H, Wakabayashi N. 2018; Effect of heat-treatment temperature on microstructures and mechanical properties of Co-Cr-Mo alloys fabricated by selective laser melting. Mater Sci Eng A. 726:21–31. DOI: 10.1016/j.msea.2018.04.048.
32. Takaichi A, Nakamoto T, Joko N, Nomura N, Tsutsumi Y, Migita S, Doi H, Kurosu S, Chiba A, Wakabayashi N, Igarashi Y, Hanawa T. Suyalatu. 2013; Microstructures and mechanical properties of Co-29Cr-6Mo alloy fabricated by selective laser melting process for dental applications. J Mech Behav Biomed Mater. 21:67–76. DOI: 10.1016/j.jmbbm.2013.01.021. PMID: 23500549.
33. Meacock CG, Vilar R. 2009; Structure and properties of a biomedical Co-Cr-Mo alloy producedby laser powder microdeposition. J Laser Appl. 21:88–95. DOI: 10.2351/1.3120214.
34. Tonelli L, Fortunato A, Ceschini L. 2020; CoCr alloy processed by Selective Laser Melting (SLM): effect of Laser Energy Density on microstructure, surface morphology, and hardness. J Manufac Process. 52:106–19. DOI: 10.1016/j.jmapro.2020.01.052.
35. Yan X, Lin H, Wu Y, Bai W. 2018; Effect of two heat treatments on mechanical properties of selectivelaser-melted Co-Cr metal-ceramic alloys for application in thin removable partial dentures. J Prosthet Dent. 119:1028.e1–e6. DOI: 10.1016/j.prosdent.2018.04.002. PMID: 29980269.
36. Yan X, Xu YX, Wu Y, Lin H. 2018; Effects of heat treatment on metal-ceramic combination of selectivelaser-melted cobalt-chromium alloy. J Prosthet Dent. 120:319.e1–e6. DOI: 10.1016/j.prosdent.2018.05.012. PMID: 30097265.
37. Beaman JJ, Barlow JW, Bourell DL, Crawford RH, Marcus HL, McAlea KP. 1997. Solid Freeform Fabrication: A New Direction in Manufacturing. Springer US;NY: DOI: 10.1007/978-1-4615-6327-3.
38. Sachs E, Cima M, Williams P, Brancazio D, Cornie J. 1992; Three dimensional printing: rapid tooling and prototypes directly from a CAD model. J Manufac Sci Eng. 114:481–8. DOI: 10.1115/1.2900701.
39. Hinczewski C, Corbel S, Chartier T. 1998; Ceramic suspensions suitable for stereolithography. J Eur Ceram Soc. 18:583–90. DOI: 10.1016/S0955-2219(97)00186-6.
40. Doreau F, Chaput C, Chartier T. 2000; Stereolithography for manufacturing ceramic parts. Adv Eng Mater. 2:493–6. DOI: 10.1002/1527-2648(200008)2:8<493::AID-ADEM493>3.0.CO;2-C.
41. Bertsch A, Jiguet S, Renaud P. 2003; Microfabrication of ceramic components by microstereolithography. J Micromech Microeng. 14:197–203. DOI: 10.1088/0960-1317/14/2/005.
42. Branco AC, Silva R, Santos T, Jorge H, Rodrigues AR, Fernandes R, Bandarra S, Barahona I, Matos APA, Lorenz K, Polido M, Colaço R, Serro AP, Figueiredo-Pina CG. 2020; Suitability of 3D printed pieces of nanocrystalline zirconia for dental applications. Dent Mater. 36:442–55. DOI: 10.1016/j.dental.2020.01.006. PMID: 32001023.
43. Baumgartner S, Gmeiner R, Schönherr JA, Stampfl J. 2020; Stereolithography-based additive manufacturing of lithium disilicate glass ceramic for dental applications. Mater Sci Eng C Mater Biol Appl. 116:111180. DOI: 10.1016/j.msec.2020.111180. PMID: 32806296.
44. Li H, Song L, Sun J, Ma J, Shen Z. 2020; Stereolithography-fabricated zirconia dental prostheses: concerns based on clinical requirements. Adv Appl Ceram. 119:236–43. DOI: 10.1080/17436753.2019.1709687.
45. Harrer W, Schwentenwein M, Lube T, Danzer R. 2017; Fractography of zirconia-specimens made using additive manufacturing (LCM) technology. J Eur Ceram Soc. 37:4331–8. DOI: 10.1016/j.jeurceramsoc.2017.03.018.
46. Xing H, Zou B, Li S, Fu X. 2017; Study on surface quality, precision and mechanical properties of 3D printed ZrO2 ceramic components by laser scanning stereolithography. Ceram Int. 43:16340–7. DOI: 10.1016/j.ceramint.2017.09.007.
47. Johansson E, Lidström O, Johansson J, Lyckfeldt O, Adolfsson E. 2017; Influence of Resin Composition on the Defect Formation in Alumina Manufactured by Stereolithography. Materials. 10:138. DOI: 10.3390/ma10020138. PMID: 28772496. PMCID: PMC5459215.
48. Marsico C, Øilo M, Kutsch J, Kauf M, Arola D. 2020; Vat Polymerization-Printed Partially Stabilized Zirconia: Mechanical Properties, Reliability and Structural defects. Addit Manuf. 36:101450. DOI: 10.1016/j.addma.2020.101450. PMID: 32793425. PMCID: PMC7418863.
49. O'Masta MR, Stonkevitch E, Porter KA, Bui PP, Eckel ZC, Schaedler TA. 2020; Additive manufacturing of polymer-derived ceramic matrix composites. J Am Ceram Soc. 103:6712–23. DOI: 10.1111/jace.17275.
50. Chartier T, Badev A, Abouliatim Y, Lebaudy P, Lecamp L. 2012; Stereolithography process: influence of the rheology of silica suspensions and of the medium on polymerization kinetics-cured depth and width. J Eur Ceram Soc. 32:1625–34. DOI: 10.1016/j.jeurceramsoc.2012.01.010.
51. Chartier T, Dupas C, Lasgorceix M, Brie J, Champion E, Delhote N, Chaput C. 2014; Additive manufacturing to produce complex 3D ceramic parts. J Ceram Sci Technol. 6:95–104.
52. Dehurtevent M, Robberecht L, Hornez JC, Thuault A, Deveaux E, Béhin P. 2017; Stereolithography: A new method for processing dental ceramics by additive computer-aided manufacturing. Dent Mater. 33:477–85. DOI: 10.1016/j.dental.2017.01.018. PMID: 28318544.
53. Liu W, Wu H, Zhou M, He R, Jiang Q, Wu Z, Cheng Y, Song X, Chen Y, Wu S. 2016; Fabrication of fine-grained alumina ceramics by a novel process integrating stereolithography and liquid precursor infiltration processing. Ceram Int. 42:17736–41. DOI: 10.1016/j.ceramint.2016.08.099.
54. Wang W, Yu H, Liu Y, Jiang X, Gao B. 2019; Trueness analysis of zirconia crowns fabricated with 3-dimensional printing. J Prosthet Dent. 121:285–91. DOI: 10.1016/j.prosdent.2018.04.012. PMID: 30017167.
55. Uçar Y, AysanMeriç , Ekren O. 2019; Layered manufacturing of dental ceramics: fracture mechanics, microstructure, and elemental composition of lithography-sintered ceramic. J Prosthodont. 28:e310–8. DOI: 10.1111/jopr.12748. PMID: 29430836.
56. Lian Q, Sui W, Wu X, Yang F, Yang S. 2018; Additive manufacturing of ZrO2 ceramic dental bridges by stereolithography. Rapid Prototyp J. 24:114–19. DOI: 10.1108/RPJ-09-2016-0144.
57. Zandinejad A, Methani MM, Schneiderman ED, Revilla-León M, Bds DM. 2019; Fracture Resistance of Additively Manufactured Zirconia Crowns when Cemented to Implant Supported Zirconia Abutments: An in vitro Study. J Prosthodont. 28:893–97. DOI: 10.1111/jopr.13103. PMID: 31430001.
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